| NPI | 1407293145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONITA R QUALE Sole Member 907-776-8684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 224) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: AK 100608) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-06-03 |